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[3] The proposed mechanism involves B12 altering the gene expression of skin bacteria ( Cutibacterium acnes ), leading to increased inflammatory compounds

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10.3390/ijms20184472 Summary Keywords oxidative stress, natural antioxidants, anti-ovarian aging, reactive oxygen species, mitochondria, inflammation, apoptosis, telomeres Citation Yang L, Chen Y, Liu Y, Xing Y, Miao C, Zhao Y, Chang X and Zhang Q (2021) The Role of Oxidative Stress and Natural Antioxidants in Ovarian Aging

The Takeaway Some endocrinologists may say that its inappropriate to diagnose a person with Hashimotos solely based on the presence of thyroid antibodies (which may be present in 10-20 percent of the general population) if they have a normal TSH and do not present with any thyroid symptoms